Angela Rea Haugo, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

12829 Issued in MT

Practice address

715 Main St Ste a
Stevensville, MT 59870-2861

Phone

(406) 777-5522

NPI assigned

Jun 11, 2007

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Electronic endpoints 3

Medicare fee-for-service enrollment

Enrolled in MT

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

Des Moines University of Osteopathic Medicine and Health Sciences, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Hospital & facility affiliations

• Bitterroot Health - Daly Hospital Hospital, Hamilton, MT, CCN 271340
• Community Medical Center Hospital, Missoula, MT, CCN 270023

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ahaugo132568@wm.providencedirect.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Dynamic Roots Wellness

  • Health Service Clinic/Center
  • Hamilton, MT
  • NPI 1942789052

  MT

  Medicare reassignment NPD Authorized official

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Marcus Daly Memorial Hospital Corporation

  • Critical Access Hospital
  • Hamilton, MT
  • NPI 1659475846

  Hospital

  Care Compare affiliation
• RCHP Billings - Missoula LLC

  • General Acute Care Hospital
  • Missoula, MT
  • NPI 1346642899

  Hospital

  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1181520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637625600000",
    "number": "1265635809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "715 MAIN ST STE A",
            "city": "STEVENSVILLE",
            "state": "MT",
            "postal_code": "598702861",
            "telephone_number": "406-777-5522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "715 MAIN ST STE A",
            "city": "STEVENSVILLE",
            "state": "MT",
            "postal_code": "598702861",
            "telephone_number": "406-777-5522"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "#5 FOURTH AVENUE EAST",
            "address_purpose": "LOCATION",
            "city": "SAINT IGNATIUS",
            "state": "MT",
            "postal_code": "59865",
            "country_code": "US",
            "telephone_number": "406-745-3525",
            "fax_number": "406-745-2412",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "35401 Mission Dr",
            "address_purpose": "LOCATION",
            "city": "St Ignatius",
            "state": "MT",
            "postal_code": "598657791",
            "country_code": "US",
            "telephone_number": "406-676-0137",
            "fax_number": "406-745-4235",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAUGO",
        "first_name": "ANGELA",
        "middle_name": "REA",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-11",
        "last_updated": "2021-11-23",
        "certification_date": "2021-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MT",
            "license": "12829",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ahaugo132568@wm.providencedirect.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "715 Main St Ste A",
            "city": "Stevensville",
            "state": "MT",
            "country_code": "US",
            "postal_code": "598702861",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ahaugo132568@wm.providencedirect.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "35401 Mission Dr",
            "city": "St Ignatius",
            "state": "MT",
            "country_code": "US",
            "postal_code": "598657791",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ahaugo132568@wm.providencedirect.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "#5 FOURTH AVENUE EAST",
            "city": "SAINT IGNATIUS",
            "state": "MT",
            "country_code": "US",
            "postal_code": "59865",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Hannah Georgia Hall
• David H Hammermeister Sr.
• David Lavoyd Hardin, D.C.
• Lora Ann Harris, LMT
• Tammy Harris, RPH
• Lynne L. Hersom, L.O.T.
• Lindsey Elizabeth Hoerner, LCSW,LAC
• Codie Michelle Houtchens, LMT
• Patricia White Hutcheson, P.T.
• Tonia J Janzen, LAC

• All providers in Stevensville, MT
• Family Medicine Physician in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.